Endovenous Vein Ablation
Endovenous vein ablation is a minimally invasive procedure used to treat varicose veins and certain other vein conditions. It is an effective alternative to traditional surgical methods for addressing venous insufficiency. The procedure typically involves using thermal or laser energy to seal a problematic vein, redirecting blood flow to healthier veins. Here are the key aspects of endovenous vein ablation:
Procedure:
Preparation: Before the procedure, the patient may undergo a duplex ultrasound to map the veins and identify the areas of reflux or insufficiency.
Anesthesia: Local anesthesia is usually administered to numb the treatment area.
Insertion of Catheter: A thin catheter is inserted into the affected vein through a small incision. The catheter is guided using ultrasound imaging.
Energy Application: Depending on the specific technique used, thermal or laser energy is delivered to the vein wall. This causes the vein to collapse and seal shut.
Closure of the Vein: After the procedure, the treated vein is no longer functional, and blood is rerouted to healthier veins.
Types of Endovenous Vein Ablation:
Laser and Radiofrequency ablation: Thermal venous ablation is a minimally invasive medical procedure used to treat varicose veins and other superficial venous disorders. It involves using heat energy to close off or seal a malfunctioning vein, redirecting blood flow to healthier veins. The two main types of thermal venous ablation procedures are radiofrequency ablation (RFA) and endovenous laser ablation (EVLA).
Mechanochemical ablation (MOCA) is a minimally invasive medical procedure used for the treatment of varicose veins and other superficial venous disorders. It is a combination of mechanical and chemical methods to close off or seal a malfunctioning vein.
Cyanoacrylate vein closure: The vein in question is sealed with a medical grade adhesive. Unlike some other varicose vein treatments, cyanoacrylate (VenaSeal™) does not typically require the use of tumescent anesthesia (anesthesia injected around the vein).
Foam Sclerotherapy: Varithena is a brand name for a medication used in the treatment of varicose veins. The generic name for Varithena is polidocanol. It is a sclerosing agent used to close varicose veins. When combined with CO2 and O2, polidocanol creates a foam that expands inside the vein, increasing the contact surface area of the treatment, and eventually closing the vein in question and its branches.
Advantages:
Minimally Invasive: Endovenous ablation is less invasive than traditional vein-stripping surgery.
Quick Recovery: Patients typically experience a quicker recovery with less discomfort compared to surgical methods. Usually, patients have no downtime; they walk after the procedure and are able to continue their regular normal activities.
High Success Rates: The procedure is effective in treating varicose veins and venous insufficiency.
Post-Procedure:
Compression Stockings: Patients are often advised to wear compression stockings to promote healing and reduce swelling.
Activity Restrictions: Depending on the specific procedure and individual circumstances, there may be restrictions on strenuous activities for a short period.
Follow-Up: Follow-up appointments may be scheduled to monitor recovery and assess the effectiveness of the treatment.
Indications:
Endovenous vein ablation is commonly used to treat conditions such as:
Chronic Venous Insufficiency (CVI): Failure of the valves in the veins, leading to poor blood flow.
Varicose Veins: Enlarged and twisted veins that result from venous insufficiency.
Considerations:
While endovenous vein ablation is generally safe and well-tolerated, it’s important to note that it may not be suitable for everyone. Our vascular and vein specialists will consider individual factors and the specific characteristics of the veins before recommending a specific procedure.
If you are considering endovenous vein ablation or have symptoms of venous insufficiency, it’s crucial to consult with a vascular specialist. They can assess your condition, discuss treatment options, and determine the most appropriate approach based on your specific circumstances.